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Pharmacology CMS Exam with (87 Correctly Answered Questions) yr. 2023., Exams of Nursing

Pharmacology CMS Exam with (87 Correctly Answered Questions) yr. 2023.

Typology: Exams

2022/2023

Available from 07/30/2023

Pronurse1
Pronurse1 🇺🇸

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Download Pharmacology CMS Exam with (87 Correctly Answered Questions) yr. 2023. and more Exams Nursing in PDF only on Docsity!

Answered Questions) yr. 2023.

nursing intervention to do when removing nitroglycerin ointment - Correct

Answer remove prior dose before applying the new one

after measuring nitroglycerin ointment dose with the applicator paper, how many

inch should you spread it over the paper - Correct Answer 2.5-3.5 inches

What should you avoid doing when apply nitroglycerin ointment - Correct

Answer avoid touching the ointment with your hands

Where should you apply the nitroglycerin ointment - Correct Answer clean,

hairless area over the body, then cover w/ a clear plastic wrap

how do you administer enteric-coated medication - Correct Answer swallowed

whole, NEVER CRUSH IT!

What is Rifampin for? - Correct Answer Antibiotic to treat TB given in

combination with another antituberculosis med to help prevent antibiotic resistance

What are complications of Rifampin? - Correct Answer -Orange color of the

urine, saliva, sweat, or tears -Jaundice, fatigue, mild abdominal discomfort (anorexia)

How should you administer Rifampin? - Correct Answer 1 hour before or 2 hours

after meal with a full glass of water

Contraindications for Rifampin? - Correct Answer -Pregnancy/lactation

Answered Questions) yr. 2023.

-Liver dysfunction

What should be monitored when taking Rifampin? - Correct Answer -Liver

function -PT/INR

Patient education when taking Rifampin? - Correct Answer -Avoid alcohol

-Monitor for anorexia fatigue and malaise -When taken with food it decreases the absorption of the medication

What happens when Rifampin interacts with an HIV medication? - Correct

Answer The HIV medication dose increases

How will you know Rifampin was effective? - Correct Answer -Clear breath

sounds -No night sweats -Increased appetite, decreased temp -3 negative cultures for TB How will you administer multiple medications through an enteral feeding tube -

Correct Answer Administer each medication separately, do not mix the

medications with enteral feeding

Answered Questions) yr. 2023.

How to crush medications through an enteral feeding tube - Correct Answer

Dissolve crushed medications in 15 to 30 ml of sterile water priority tp administration via enteral feeding tube

How to prevent clogging with an enteral feeding tube - Correct Answer Flush

the tube before/after each medication with 15 to 30 ml of warm sterile water What to do after administering ALL medications through enteral feeding tube -

Correct Answer Flush with another 30 ml of warm sterile water

What is Enoxaparin - Correct Answer An anticoagulant, used to treat/prevent

DVT and pulmonary embolism

What should you not do when drawing Enoxaparin in a syringe - Correct Answer

Do not expel the air bubbles unless dose adjustment needs to be made If Enoxaparin prefilled syringe is not available, what size gauge should you use to

withdraw the medication? - Correct Answer 20-

After withdrawing Enoxaparin medication you should then change to what size

needle to inject? - Correct Answer 25-26, ½-⅝ long

Where should you administer Enoxaparin subcutaneously - Correct Answer In

the abdomen, two inches from the umbilicus, do not aspirate and you should always rotate sites What should be monitored when administering Enoxaparin subcutaneously -

Correct Answer -Bleeding

Answered Questions) yr. 2023.

-Bruising -Abdominal pain -Coffee ground emesis -Tarry stool

What should be avoided when taking Enoxaparin - Correct Answer -NSAIDs

-Aspirin -Anything containing salicylates

How to shave a patient taking Enoxaparin - Correct Answer Use an electric razor

What toothbrush should a patient taking Enoxaparin use - Correct Answer Soft-

bristled toothbrush

What is levothyroxine used for - Correct Answer Hypothyroidism

What are complications of Levothyroxine - Correct Answer -Tachycardia, chest

pain, nervousness, palpitations -Anxiety, tremors -Fever, diaphoresis, weight loss -Abdominal cramping

Answered Questions) yr. 2023.

What is a contraindication when taking Levothyroxine - Correct Answer

Myocardial infarction

What reduces the absorption of Levothyroxine - Correct Answer Binding agents

What should be used cautiously when interacting with Levothyroxine - Correct

Answer Catecholamines (neurotransmitter)

What increases the risk of hypoglycemia in a patient taking Glyburide - Correct

Answer Concurrent use of insulin, glipizide, glimepiride with Glyburide

What can taking Glyburide cause - Correct Answer Hypoglycemia

How should you store nitroglycerin tablets - Correct Answer Original bottle, in a

cool dark place

What is Fexofenadine for - Correct Answer Seasonal allergies such as rhinitis,

motion sickness, anaphylaxis, insomnia (blocks histamine)

What are side effects of Fexofenadine - Correct Answer -GI discomfort

(constipation) -Tachycardia -Sedation, dry mouth -Urinary retention, pupil dilation

Answered Questions) yr. 2023.

What is a contraindication for Fexofenadine - Correct Answer Pregnancy

What are negative interactions with Fexofenadine - Correct Answer CNS

depression, therefore avoid alcohol

What is a nursing intervention of fexofenadine - Correct Answer Be aware of

sedating effects and instruct the patient to avoid driving

When should the patient take Fexofenadine - Correct Answer At night to

decrease daytime side effects How should a patient treat the negative side effect of dry mouth when taking

Fexofenadine - Correct Answer Suck on sugarless candy

Patient education about fluids in a patient taking Fexofenadine - Correct Answer

Take sips of water and maintain 2 to 3 liters of water a day

How will you know Fexofenadine was effective - Correct Answer -Relief of

motion sickness (decreased nausea, vomiting) -Improvement of allergic reaction (absence of urticaria, rhinitis)

What is Prednisone - Correct Answer A steroid

What is Prednisone for - Correct Answer -Prevents inflammation

-Reduction in airway mucosal edema

Answered Questions) yr. 2023.

What can happen if prednisone is administer for more than 10 days - Correct

Answer -Adrenal glands become suppressed

-Bone loss, infection -Myopathy, peptic ulcer disease -Hyperglycemia, glycosuria (reduced glucose in urine) -Increased appetite, weight gain

What is prednisone intended for - Correct Answer Short term use

What should be monitored when taking prednisone - Correct Answer Blood

glucose, the dose should be tapered when weaning off of the medication

What should be administered with prednisone - Correct Answer Food such as

an increase with calcium and vitamin D What should the patient report if they experience when taking prednisone -

Correct Answer -Muscle weakness

-They should perform weight-bearing exercises

What are S/S of aspirin toxicity - Correct Answer Tinnitus and hearing loss

What can increase the absorption of aspirin - Correct Answer Caffeine

Answered Questions) yr. 2023.

When a patient is taking aspirin when will they be able to take an NSAID - Correct

Answer 2 hours after taking the aspirin

What is a contraindication of taking aspirin - Correct Answer -Feverfew

-Garlic, ginger, glucosamine -Ginkgo biloba -Saw Palmetto THESE ALL INCREASE THE RISK OF BLEEDING W/ ASPIRIN

What can happen when taking a corticosteroid with Aspirin - Correct Answer -

Increase aspirin excretion -Decrease the aspirin's effect -Increase GI bleeding

What are complications when taking acetaminophen - Correct Answer -Liver

damage -Sweating, coma, death -Abdominal discomfort (nausea, vomiting, diarrhea)

Contraindications when taking acetaminophen - Correct Answer -Liver, kidney

impairment

Answered Questions) yr. 2023.

-Chronic alcohol use disorder -Malnutrition What is the dose that should not be exceeded in a day when taking

acetaminophen - Correct Answer -4 grams

-3 grams for malnourished patient -2 grams for alcohol use

What is diphenhydramine used for - Correct Answer Cough suppression,

seasonal allergys

Contraindication when taking diphenhydramine - Correct Answer Lactation

How will you know that diphenhydramine was effective - Correct Answer -

Improvement of allergic reaction (rhinitis, urticaria) -Relief of cough nausea and vomiting

What to watch for when taking diphenhydramine - Correct Answer -Sedating

effects -Do not drink (Same as fexofenadine)

What is captopril - Correct Answer ACE inhibitor

Answered Questions) yr. 2023.

Adverse effects of diuretics - Correct Answer -Dehydration

-Hypotension -Hyponatremia (decreased sodium) -Hypokalemia (decreased calcium) -Hypochloremia (decreased chloride) -Hypomagnesemia (decreased magnesium) -Hyperglycemia (increased glucose) -Hyperuricemia (increased uric acid) -Increase LDL levels -Hirsutism (excessive growth of dark hair) -Ototoxicity

What does captopril treat - Correct Answer -Hypertension

-HF, MI

Complications of captopril - Correct Answer -Hypotension

-Hyperkalemia

Answered Questions) yr. 2023.

-Neutropenia -Angioedema, rash, dysgeusia (altered taste) -First dose orthostatic hypotension, cough

Contraindications for captopril - Correct Answer Pregnancy, lactation

What to monitor for when taking captopril - Correct Answer Blood pressure

after first dose for 2 hours for hypotension

When should you take captopril with food - Correct Answer One hour before

meals

When should the patient notify the provider when taking captopril - Correct

Answer Development of cough, rash, dysgeusia

What should the patient do when taking captopril - Correct Answer Rise slowly

when sitting

What activities should be avoided when a patient is taking captopril - Correct

Answer Activities that require alertness until the effects of captopril are known

What medication is a contraindication for hypertension - Correct Answer -

Decongestants such as phenylephrine, Ephedrine Naphazoline Pseudoephedrine

Answered Questions) yr. 2023.

-Antihistamines which end in -INE plus dimenhydrinate

What is Furosemide - Correct Answer Diuretic

What does furosemide treat - Correct Answer Fluid retention and swelling

caused by heart failure, kidney/liver disease, hypertension

Contraindication for furosemide - Correct Answer -Pregnancy, lactation

-Auria (no urine output)

Complications of Furosemide - Correct Answer -Dehydration

-Hyponatremia, hypotension, hypokalemia, hypomagnesemia, hypocalcemia, hypochloremia -Hyperglycemia, ototoxicity

What can occur if hypokalemia occurs in a patient taking Furosemide - Correct

Answer Digoxin toxicity

When taking furosemide with lithium carbonate what can happen - Correct

Answer Increased lithium carbonate

What happens when you take furosemide with an NSAID - Correct Answer

Decreases blood flow to the kidney

When should you notify the provider and a patient taking Furosemide - Correct

Answer Chest pain, calf pain, pelvic pain occurs

Answered Questions) yr. 2023.

What should you monitor for in a patient taking Furosemide - Correct Answer

Dehydration, lightheadedness, dizziness (postural hypotension)

What medication should be avoided in a patient taking Furosemide - Correct

Answer Ototoxicity medication such as gentamicin

What should a patient notify the provider that has occurred when taking

Furosemide - Correct Answer Tinnitus

What should a patient monitor when taking Furosemide - Correct Answer Blood

glucose What are signs of hypokalemia that should be reported in a patient taking

Furosemide - Correct Answer -Nausea, vomiting, fatigue

-Leg cramps, weakness

How will you know furosemide has been effective - Correct Answer -Decrease in

edema -Decrease in blood pressure -Weight loss -Decreased calcium level -Increase in urine output